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General NPI Number Information
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NPI Number | 1144274333
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Entity Type | Individual
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Provider Name | JOSE AVILES MUNOZ MD
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Gender | Male
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 02/17/2009
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Provider Practice Location Address
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Address Line | CALLE SANTA CRUZ #64 EDIFICIO GALERIA MEDICA SUITE 201
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City | BAYAMON
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State | PR
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Zip | 00961
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Country | US
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Telephone | 787-778-7232
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 363244
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City | SAN JUAN
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State | PR
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Zip | 00936-3244
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Country | US
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Telephone | 787-237-9810
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 9780
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License Number State | PR
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